Phoenix Bar Job Application

First Name
Last Name
Your Email
Job Applied For
Date of Application
Street Address
City/State
Zip Code
Home Phone
Mobile Phone
Date you will be available for work?
Drivers License Number & State Issued
If you are under 18, can you furnish a work permit?
yesno
Have you ever been employed here before?
yesno
Can you meet attendance requirements of the position?
yesno
Are you legally eligible to work in this country? (Proof of US Citizenship or immigration status will be required upon employment)
yesno
Type of employment desired? Full TimePart TimeTemporarySeasonalEducational/Co-Op
Have you been convicted of a felony in the past 7 years? yesno
(Such a conviction may be relevant if job related, but does not bar you from employment. The inquiry as to whether you have been convicted of a crime does not require you to disclose, verbally or in writing, any record of a conviction or arrest that has been expunged or sealed.)

If you answered yes, please explain.

Employment History

List your last 4 employers or volunteer activities. Start with the most recent, include any military experience.

Reference 1

Name of Employer
Contact phone number
Your immediate supervisor
City/State
Date Worked From:
Date Worked To:
Job title or position
Salary when you left?
Short description of your responsibilities

Reference 2

Name of Employer
Contact phone number
Your immediate supervisor
City/State
Date Worked From:
Date Worked To:
Job title or position
Salary when you left?
Short description of your responsibilities

Reference 3

Name of Employer
Contact phone number
Your immediate supervisor
City/State
Date Worked From:
Date Worked To:
Job title or position
Salary when you left?
Short description of your responsibilities

Reference 4

Name of Employer
Contact phone number
Your immediate supervisor
City/State
Date Worked From:
Date Worked To:
Job title or position
Salary when you left?
Short description of your responsibilities
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